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KATIE MALLON LMT
NPI 1023424918
Massage Therapist in Waterloo, IL

Active since July 11, 2014
742 N MARKET ST STE D, WATERLOO, IL 62298(314) 740-2172 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katie Mallon Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE MALLON LMT (NPI 1023424918) is an individual massage therapist in Waterloo, Illinois, licensed in Illinois (227.007281) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1023424918
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKATIE MALLONCredential: LMT
Location Address742 N MARKET ST STE DWaterloo, IL 62298-1079
Mailing Address742 N Market St Ste DWaterloo, IL 62298-1079 · (314) 740-2172
Phone(314) 740-2172
Sole ProprietorNo
Enumeration DateJuly 11, 2014
✔ NPI 1023424918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IL · 227.007281
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

742 N MARKET ST STE D, Waterloo, IL 62298
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Mallon's NPI number?

The NPI number for Katie Mallon is 1023424918. It was assigned to this individual provider in the NPPES registry on July 11, 2014.

Where is Katie Mallon located?

Katie Mallon practices at 742 N Market St Ste D, Waterloo, IL 62298. The listed phone number is (314) 740-2172.

What is Katie Mallon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Katie Mallon was last updated on July 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.